Dr Andrew J Reheisse, DC | |
7351 S Union Park Ave Ste 150, Midvale, UT 84047-1869 | |
(801) 944-1855 | |
(385) 351-5950 |
Full Name | Dr Andrew J Reheisse |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 10 Years |
Location | 7351 S Union Park Ave Ste 150, Midvale, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003217449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 9123542-1202 (Utah) | Secondary |
111NS0005X | Chiropractor - Sports Physician | 9123542-1202 (Utah) | Primary |
Provider Name | Revive Sport & Spine |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649646969 PECOS PAC ID: 9830497122 Enrollment ID: O20160420001060 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrew J Reheisse, DC 7351 S Union Park Ave Ste 150, Midvale, UT 84047-1869 Ph: (801) 944-1855 | Dr Andrew J Reheisse, DC 7351 S Union Park Ave Ste 150, Midvale, UT 84047-1869 Ph: (801) 944-1855 |
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